Provider Demographics
NPI:1598492506
Name:ROCHA COULTHARD, FRANCINEIDE
Entity Type:Individual
Prefix:
First Name:FRANCINEIDE
Middle Name:
Last Name:ROCHA COULTHARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRANCINEIDE
Other - Middle Name:
Other - Last Name:ROCHA BINDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7108 S KANNER HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-7462
Mailing Address - Country:US
Mailing Address - Phone:855-832-6727
Mailing Address - Fax:
Practice Address - Street 1:1350 E FLAMINGO RD STE 13B-3263
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-5263
Practice Address - Country:US
Practice Address - Phone:855-832-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other